Medical Billing Lead: Revenue Cycle & Coding Expert

Prime Healthcare; Mesquite (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Paid vacation

Sick time and holidays

Bereavement leave

401K options

Tuition reimbursement

Job summary

Prime Healthcare's Dallas Medical Physician Group in Mesquite, TX is seeking a Medical Billing Lead to oversee billing, coding, claims follow-up, and reimbursement activities to support revenue cycle operations. The role includes reviewing documentation and coding, educating staff on payer requirements, and assisting with credentialing and process improvement.

Responsibilities include reviewing claims in Epic for accuracy, submitting and following up on insurance and third-party claims, training

Qualifications

• 1. Knowledge of multiple insurance billing requirements and 3-5 years of billing experience
• 2. HIPAA confidentiality requirements and strict privacy
• 3. Knowledge of Epic, Excel, Word, and clearinghouse software
• 4. Knowledge of CPT, HCPCS, ICD-10 coding protocols, Medicaid, third party and Medicare billing
• 5. Knowledge of regulatory standards applicable to the position
• 6. Ability to understand and apply rules, policies and procedures
• 7. Effective communication abilities
• 8. Ability to establish and maintain working relationships with clinicians and patients
• 9. Ability to multi-task and meet timelines
• 10. Analytical problem-solving skills
• 11. Customer service experience
• 12. High School Graduate or GED equivalent

Responsibilities

• Review coding, documentation, and claims in Epic to ensure accurate and compliant billing before submission
• Submit and follow up on insurance, workers’ compensation, HMO/PPO, and other third-party claims through final resolution
• Train and support billing staff, clinicians, and providers on coding guidelines and payer policies
• Monitor charge entry, claim submission, payment posting, denials, and monthly accounts receivable reporting
• Assist with provider and facility credentialing, process development, compliance initiatives, and patient billing concerns

Skills

Billing experience

Communication skills

Analytical skills

Multi-tasking

Customer service

Regulatory awareness

Team training

Education

High School Diploma or GED

Tools

Epic

Excel

Word

Clearinghouse software

Job description

Prime Healthcare's Dallas Medical Physician Group in Mesquite, TX is seeking a Medical Billing Lead to oversee billing, coding, claims follow-up, and reimbursement activities to support revenue cycle operations. The role includes reviewing documentation and coding, educating staff on payer requirements, and assisting with credentialing and process improvement.

Responsibilities include reviewing claims in Epic for accuracy, submitting and following up on insurance and third-party claims, training